Diabetes – foot care part of the overall picture

A new case of diabetes is detected in Australia every 15 minutes. One in four Australians over 25 years of age has diabetes or is at high risk of developing the disease within ten years. Diabetes through lower limb related amputations costs the Australian health system $48 million per year. Alarming statistics released on International Diabetes Day, 14 November, by the Australian Podiatry Association, which when coupled with long-term complications are not yet fully appreciated by the wider-health profession or the community.

“Diabetes affects one million Australians and is the country’s sixth largest cause of death,” Association President, Matt Dilnot said. “People with diabetes should develop a routine whereby they personally check their feet daily and see their podiatrist at least once a year.  These actions, recommended by the Association and Diabetes Australia will assist combat the problems and in particular, lessen the high incidence of diabetes-related amputations”.

Foot problems are a potential complication of diabetes, and people with diabetes are at a greater risk of developing foot problems than the average person. It is estimated that the number of Australians affected by diabetes will reach 1.5 million by the year 2010. Currently 3,000 lower limb diabetes-related adult amputations are carried out annually. Diabetes is currently costing our health care system an estimated $1.2 billion per annum, with that cost expected to rise to $2.3 billion per year by 2010.

Foot care is of paramount importance in diabetes management. Diabetes can lead to significant problems of the nervous and circulatory systems and the joints of the body. These problems particularly manifest themselves in the feet. Circulation problems retard the open wound healing process and nerve problems result in foot numbness that could bring about complete loss of sensation in the feet. Rigid joint deformities can also occur. These together with sensation loss can contribute to additional foot trauma from ill-fitting footwear without the individual being aware of the problem.

“Personal daily foot checks, addressing such matters as foot cleanliness, cuts and abrasions, well-fitting shoes and nail care are of paramount importance. Other foot problems such as corns, calluses and ingrown toenails should be treated by a podiatrist. Healthy feet are important for everyone as they contribute to our mobility, our lifestyle and independence,” Mr Dilnot said. “Regular checks together with further education in foot care will alleviate the significant, social, medical and economic consequences emanating from diabetes related foot problems”.